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On a cold Wednesday morning in February 2003 Colin Powell argued before the United Nations Security Council that Iraq harbored weapons of mass destruction. Before the speech, nearly 90 percent of Americans reported that Powell’s speech would help them determine their view about invading Iraq. In the days after the speech, a strong majority of Americans reported that they found Powell’s evidence convincing enough to justify war. But most American adults did not watch Powell’s speech. Instead, they learned about it from journalists—and to a large extent formed their opinions about war with Iraq based on news coverage of his address. In Intertextuality and the 24-Hour News Cycle John Oddo investigates the “rhetorical life” of Colin Powell’s address as it was extended across several media reports. Focusing on one day of pre- and postspeech news coverage, Oddo examines how journalists influenced Powell’s presentation— precontextualizing and recontextualizing his speech, and prepositioning and repositioning audiences to respond to it. The book surveys a variety of news media (television, newspaper, and Internet) and systematically integrates several methodological approaches (critical, rhetorical, discourse-analytic, and multimodal). This revealing text shows the decisive role that journalists played in shaping American attitudes about Powell, his presentation, and the desirability of war in Iraq.

Colin Powell, the first African American to serve as Secretary of State, National Security Adviser, and Chair of the Joint Chiefs of Staff. In 1997 he founded the Colin Powell Center for Policy Studies at City College of New York. In 2013, the Center was transformed into the Colin Powell School for Civic and Global Leadership.

First corollary: no empire building. [...]I won't tolerate brusque, rude, or dismissive behavior among staff members. [...]Smart cautions us with, \"These rules are easier to set out on paper than they are to follow-at least by some managers.\"

[...]he would advise us to use our power to manage global issues through diplomacy more frequently now in multilateral settings. The Power of Diplomacy He knew the power of the long, steady and unromantic game of diplomacy to preserve and foster national power and values. Diplomacy on the other hand is all about getting to a shared space that opens the pathway to yet more progress.

Archivist was reminded of acute flaccid myelitis (AFM) when he was involved with a few cases following an enterovirus D68 mini outbreak a few years ago. It is a rare diagnosis in UK. Part of the role of the general paediatrician is to be aware of these rarities and diagnose promptly. In a small case series, reported by Matesanz S et al . [J Pediatr 2019 Aug 8. pii: S0022-3476(19)30849-2. doi: 10.1016/j.jpeds.2019.07.015] the diagnostic features were highlighted. Acute flaccid myelitis (AFM) is defined as the acute onset of focal limb weakness with corresponding spinal cord grey matter-specific abnormalities spanning one or more spinal segments on MRI, sometimes with associated brainstem and posterior fossa abnormalities. Weakness typically begins in the setting of a recent or current respiratory and/or febrile illness and may be rapidly progressive. The diagnosis is often delayed and the evidence base for treatment is poor. This was a chart review of all children diagnosed with AFM at the Children’s Hospital of Philadelphia between September 2014 and October 2016. They recorded demographic, epidemiologic, clinical, treatment, and outcome data from medical records on all confirmed cases in a retrospective case series. All the children had weakness on presentation, which was more pronounced proximally. Five children had prominent single limb involvement (four upper extremity, 1 lower extremity), and nine had multiple limb involvement. Of the 13 children who had a lumbar puncture, they all had a lymphocytic predominant pleocytosis and variably elevated protein consistent with the diagnosis of AFM. Spinal MRI in all children demonstrated intraspinal grey matter T2 hyperintensities consistent with the case definition, most commonly in mid-cervical and lower thoracic regions. The paper discusses the few treatment options. Those patients with enterovirus D68 had the worst outcome.

The United Nations Convention on the Rights of the Child (CRC) was created in 1989 and has provided us a framework for the structure of a Childrens’ rights delivered clinical service, standards for clinical care and indeed undergraduate curriculum for medical students. It is worthwhile reminding yourself of some of the Articles. Article 17 states, ‘Children have the right to get information that is important to their health and well-being’ and Article 24 focuses on health and health services, stating, ‘Children have the right to good quality healthcare—the best healthcare possible—to safe drinking water, nutritious food, a clean and safe environment, and information to help them stay healthy.’ It is clear that some children are given inadequate support and information in some healthcare environments. Przybylska MA et al. [BMJ Paediatrics Open 2019;3: e000445; http://dx.doi.org/10.1136/bmjpo-2019-000445] identified this gap in information available for children and have highlighted this need in acute settings. They examined local resources provided to paediatric inpatients who had been admitted to the acute admissions unit and compared this information given to children with planned admissions via process observations in their quaternary Childrens Hospital. They also interviewed two play specialists, thirty families and nine children (aged 3–15 years) to collate a qualitative angle and finally they reviewed thirty six (UK, Australian and US) hospitals assessing child-specific information resources and systematically compared the information available on nine hospital websites. At the study site, no child-specific information resources were available for acute admissions, whereas planned admissions were offered significant information face-to-face with supplemental resources. Child, parent and play specialist interviews highlighted gaps in information provision regarding hospital practicalities and processes. Twelve external child-specific resources were identified, for 4–14 year olds, explaining key care information: medical procedures, equipment and staff. These resources could positively respond to the topics cited as lacking by the interviewed patients and families at the study site. International hospital websites provided more detailed information compared with UK hospitals. They concluded that the hospital experience of children can be improved by ensuring they are provided with adequate information relating to their hospital stay. It is essential that suitable high-quality resources are consistently available and that feedback from children informs the process of resource development. The UK government published a report in 2015 on the role of the CRC and how it should influence healthcare provision. In 2017, the Royal College of Paediatrics and Child Health (RCPCH) paper on the ‘State of Child Health’ outlined aspirations for child health from a care, workforce and service delivery perspective with subsequent publication of outcomes across the UK. This national focus on CRC in 2016 and the RCPCH recommendations focused this team from Edinburgh to ask what resources and support they were providing for acutely admitted medical paediatric patients. Review the provisions that you have in your hospital. Using the Articles in the UNCRC to review the clinical service you deliver for children, is a useful exercise. They should underpin what we do and how we do it.

On Oct. 18, Defense Secretary Lloyd Austin expressed sadness over the death of former secretary of state Colin Powell, adding he had a “hole in his heart” over the loss of his close friend and mentor.

The Nominating Committee did a wonderful job in screening candidates and preparing the ballot, and I applaud the Leadership Council members who completed the responsibility to vote. AAFCS has a strong, experienced, intelligent, and compassionate Board that will guide and support our new Executive Director in achieving success for the association. Nancy is the former AAFCS Senior Director of Communications & Marketing, and she brings to the position a wealth of experience from positions in FCS and in association management. Since joining AAFCS less than 2 years ago, Nancy and her team implemented the virtual 2021 Annual Conference with about 2 months' notice, facilitated the move of the AAFCS office from the Columbus street location, and launched the #FCSsuccess public awareness campaign to increase the visibility and impact of FCS.

[...]when reps did ask questions they struggled with tailoring their questions strategically for different situations. Frank Sesno is a former CNN anchor, White House correspondent and Washington bureau chief and is now the director of the School of Media & Public Affairs at George Washington University. Jim Karrh of Little Rock is a consultant and professional speaker, a consulting principal with DSG and the host of \"The Manage Your Message Podcast.\"

A highly-skilled team from the Children’s Hospital of Philadelphia successfully separated conjoined twin girls, who shared skull bones and a common sagittal sinus, but not brain tissue. EMLA in infants ‘Magic cream’, or topical local anaesthetic EMLA (eutectic mixture of lidocaine/lignocaine and prilocaine), is frequently used for painful procedures in older children, but does it work in young infants? A meta-analysis suggests not (Shahid S et al. The causes are likely to be reduced postnatal support in the community due to fewer midwives and health visitors, and lower thresholds for hospital referral from the first point of contact in primary care.